Tribal Self-Governance Program, 25 CFR 1000

OMB Control No: 1076-0143	ICR Reference No: 200901-1076-001
Status: Historical Active	Previous ICR Reference No: 200606-1076-001
Agency/Subagency: DOI/BIA	Agency Tracking No:
Title: Tribal Self-Governance Program, 25 CFR 1000
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/19/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/26/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2012	36 Months From Approved	11/30/2009
Responses	204	0	219
Time Burden (Hours)	11,203	0	10,882
Cost Burden (Dollars)	10,500	0	16,000

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Abstract: This information collection activity and implementing regulations permit the permanent estabishment of tribal self-governance as authorized by the Tribal Self-Governance Act of 1994.

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Authorizing Statute(s): PL: Pub.L. 103 - 413 402, 403, 405 Name of Law: Title IV - Tribal Self-Governance

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 917	01/09/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 43150	08/26/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 15

IC Title Form No. Form Name 1000.17 - Admission to applicant pool 1000.18 - Withdrawal from consortium to become member of applicant pool 1000.32 - Withdrawal from consortium FA 1000.47 - Request for a negotiation grant 1000.66 - Application for planning and negotiation grant 1000.248 - Notice of proposed changes 1000.50 - Tribal resolution, audits, and proposal for planning phase 1000.243 - Progress reports and financial status reports 1000.333 - Notice to retrocede 1000.181 - Request to negotiate successor FA 1000.382 - Annual self-governance report 1000.169, 1000.170 - Letter of interest and supporting documents for FA 1000.173 - Request to negotiate a FA 1000.222 - Request for waiver 1000.19, 20, 21 - Planning report

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	204	219	0	0	-15	0
Annual Time Burden (Hours)	11,203	10,882	0	0	321	0
Annual Cost Burden (Dollars)	10,500	16,000	0	0	-5,500	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $83,533

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Elizabeth Appel 202 273-4680

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
		(a) It is necessary for the proper performance of agency functions;
		(b) It avoids unnecessary duplication;
		(c) It reduces burden on small entities;
		(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
		(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
		(f) It indicates the retention periods for recordkeeping requirements;
		(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
			(i) Why the information is being collected;
			(ii) Use of information;
			(iii) Burden estimate;
			(iv) Nature of response (voluntary, required for a benefit, or mandatory);
			(v) Nature and extent of confidentiality; and
			(vi) Need to display currently valid OMB control number;
		(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
		(i) It uses effective and efficient statistical survey methodology (if applicable); and
		(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date: 08/26/2009

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